Breast Reconstruction Options. Department of Plastic Surgery #290 Santa Clara Homestead Campus

Size: px
Start display at page:

Download "Breast Reconstruction Options. Department of Plastic Surgery #290 Santa Clara Homestead Campus"

Transcription

1 Breast Reconstruction Options Department of Plastic Surgery #290 Santa Clara Homestead Campus

2 Importance of Breast Reconstruction As successes in treating breast cancer have grown, more women have been surviving the diagnosis of breast cancer. As survivorship increased in the 1990s, a larger number of women were living with surgical absence of the breast caused by mastectomy and the importance and need for breast reconstruction became evident. This culminated in public policy with the passage of the Women's Health and Cancer Rights Act (WHCRA) of 1998, a federal law which mandates coverage of reconstructive surgery following mastectomy for all health plans that provide medical and surgical benefits.

3 What Breast Reconstruction is NOT Breast reconstruction is important, but it is also necessary to point out what breast reconstruction it is not. While breast reconstruction is a treatment for breast cancer patients, it DOES NOT treat breast cancer. Mastectomy treats breast cancer. Radiation therapy treats breast cancer. Chemotherapy treats breast cancer. Breast reconstruction treats the physical defect caused by mastectomy.

4 Options for Breast Reconstruction The first option regarding breast reconstruction is non-surgical reconstruction (external breast prosthesis)

5 Advantages of an External Prosthesis No additional risks of surgery after mastectomy No additional recovery time after mastectomy No need for revision surgery over lifetime or opposite breast surgery for symmetry No additional scars after mastectomy Excellent symmetry and size match when in clothing The prosthesis can be refitted as opposite breast changes with age. Equivalent satisfaction rates compared to those who choose surgical reconstruction Possibly better breast cancer recurrence surveillance Patient can decide to undergo surgical reconstruction later if dissatisfied

6 Who has the external breast prosthesis? A B C

7 Who has the external breast prosthesis? ALL OF THEM

8 Disadvantages/Limitations of an External Prosthesis Complaints of heaviness Complaints of sweating between prosthesis and skin Rashes or skin reaction (rare) Inconvenient (i.e. answering the door in a bathrobe) Possible embarrassment if slips out of place And most of all Only improves symmetry when clothed

9 Limitations of Surgical Breast Reconstruction The purpose of breast reconstruction is restoration of breast form. Breast reconstruction does not restore breast function. Because nerves to the skin and breast tissue are removed during mastectomy, some amount of surface and all deep sensation of the breast is lost and does not return in a reconstructed breast, regardless of what type of reconstruction is performed. Nipple reconstruction, if desired by a patient, is performed after breast reconstruction and does not produce a responsive nipple to sexual stimulation or temperature changes. Even if a nipple-sparing mastectomy is performed, the nerves that provided sexual stimulation and nipple reactivity are removed during mastectomy and do not return.

10 Surgical Breast Reconstruction Road Map First Decision: Do I want surgical breast reconstruction? Yes No Mastectomy / Possible Trial w/ external prosthesis Second Decision: Immediate or Delayed Breast Reconstruction?

11 Immediate vs. Delayed Breast Reconstruction Immediate - simply means that the first step in the process of breast reconstruction is performed during the same operation immediately after the mastectomy is finished. Delayed - simply means that the first step in the process of breast reconstruction is performed after the patient has recovered from her mastectomy. Most types of breast reconstruction need at least one surgical revision.

12 Advantages of Immediate Breast Reconstruction One (less) general anesthesia One (less) recovery period Less time before completion of reconstruction Do not need to experience complete mastectomy deformity giving a possible psychological advantage Decreased overall cost (hospital stay, post-operative visits, pain medications, time off work, are all reduced)

13 Advantages of Delayed Breast Reconstruction Stage of breast cancer and need for post-mastectomy neoadjuvant therapy is known because final pathology is complete Lessens information overload and allows a patient to concentrate on treatment of her cancer before having to deal with questions regarding cosmetic result and different options of breast reconstruction Lowers patient s expectations of breast reconstruction after living with mastectomy defect Allows a patient to attempt a trial with an external breast prosthesis to determine acceptability for her specifically

14 When Do We Not Offer Immediate Breast Reconstruction Generally two reasons: If a patient is unsure if she wishes to undergo breast reconstruction at all or which type of reconstruction to undergo. There is no medical rush to undergo breast reconstruction Likely better understanding of reconstructive options when not also dealing with the initial diagnosis of breast cancer itself If a patient has advanced disease or it is known prior to mastectomy that she will need post-operative radiation

15 Surgical Breast Reconstruction Road Map First Decision: Do I want surgical breast reconstruction? Yes No Mastectomy / Possible Trial w/ external prosthesis Second Decision: Immediate or Delayed Breast Reconstruction? Third Decision: Type of Reconstruction Implant / Expander Reconstruction Combination of Both Autologous Tissue Transfer Reconstruction

16 Implant / Tissue Expander (TE) Reconstruction Basic Premise: The breast tissue removed and the cavity created by mastectomy is replaced with an internal implant to recreate the form of the breast. If a significant amount of skin is removed, a tissue expander is placed to stretch the remaining skin into the form of a breast over time. After tissue expansion is completed and post-operative swelling has resolved the tissue expander is replaced with a permanent internal silicone or saline implant.

17 Advantages of TE / Implant Reconstruction It is a relatively simple procedure No significant increase hospital stay or recovery compared to mastectomy alone If overlying skin is adequate and tissue expansion is not necessary, immediate implant reconstruction can possibly be performed as a single reconstructive procedure. (Only a few patients are candidates for single procedure) Generally good symmetry match compared to opposite breast (there are a lot of implant options) Surgery and scars are located only in and around the breast area where treatment of cancer has occurred No need for external prosthesis

18 Disadvantages of TE / Implant Reconstruction The breast generally does not feel as natural to the outside hand or move as naturally as autologous tissue transfer reconstruction (discussed next) Capsule formation (internal scar) and possible contracture (thickening or tightening) with time Man-made prosthesis with risk of rupture / infection If wound infection occurs, need for removal is a high risk Risk of rupture (generally about 1-2% increase risk per year ) Rippling of implant can sometimes be seen if placed under thin overlying skin Higher need for revision in the future Higher need for opposite breast surgery ( lift / reduction / augmentation) to improve overall symmetry Not a good option for pre or post operative radiation patients

19 Autologous Tissue Transfer Reconstruction Basic Premise: Excess or redundant tissue elsewhere on the body (donor site) is used to recreate the form of the breast Fat or muscle of the donor site is used to make up for the tissue taken during mastectomy Skin from the donor site can be used to make up for the skin taken during mastectomy Additional skin can be used from the donor site if necessary to remove damaged previously irradiated skin If a patient does not have a significant amount of tissue for breast reconstruction but has skin loss or radiation damage, autologous tissue transfer can be combined with implant reconstruction for overall breast reconstruction

20 Autologous Tissue Transfer Reconstruction Challenge: Tissue can not just be taken from the donor site and simply moved up on the chest for breast reconstruction Blood supply must be maintained or reconstituted to keep the tissue alive Two options to do this: Tissue blood flow is maintained by a vascular leash (pedicle) Tissue blood flow is reconstituted by micro-vascular technique (Free tissue transfer)

21 Advantages of Autologous Tissue Transfer Reconstruction More natural feel and mobility of the reconstructed breast Less revision rate over patient lifetime No man-made implant, therefore no risk of rupture and other problems associated with implants Less need for opposite-side breast surgery (although still possibly necessary to improve symmetry) Better option for post-operative radiation patients

22 Disadvantages of Autologous Tissue Transfer Reconstruction Much more complicated and long procedure Significant increase hospital stay (5-7 days versus overnight for mastectomy alone or TE/implant reconstruction) Significant recovery period (6-12 weeks versus 2-4 weeks for mastectomy alone or TE/implant reconstruction) Potential donor site problems: Scarring Muscle weakness Infection Bulge for TRAM procedures (abdomen donor site) Potential for complete flap loss ( 1-4 % ) Not everyone is a candidate

23 Questions? More Information Resources See on-line video for breast reconstruction: 1. Put in your general surgeon s name. 2. You will be directed to their home page 3. On their home page, hit the Prepare for your Procedure (Emmi) link on the left hand column 4. Once at the link, Choose Breast Reconstruction

Breast Reconstruction Frequently Asked Questions

Breast Reconstruction Frequently Asked Questions Breast Reconstruction Frequently Asked Questions GENERAL Do I need to have breast reconstruction? It is never medically necessary to have breast reconstruction. This is considered an elective procedure,

More information

Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction

Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction Sientra Silicone Gel Breast Implants Quick Facts About Breast Augmentation And Reconstruction About This Brochure This brochure is intended to provide you with a high level overview of the facts about

More information

Dr. Justin B. Maxhimer, M.D. Boulder Plastic Surgery: 303-443-2277. IV Seasons Skin Care: 303-938-1666 www.boulderplasticsurgery.

Dr. Justin B. Maxhimer, M.D. Boulder Plastic Surgery: 303-443-2277. IV Seasons Skin Care: 303-938-1666 www.boulderplasticsurgery. Dr. Hans R. Kuisle, M.D., F.A.C.S Dr. Winfield Hartley, M.D., F.A.C.S Dr. Justin B. Maxhimer, M.D. 2525 4 th Street, Suite 200, Boulder, CO 80304 Boulder Plastic Surgery: 303-443-2277 IV Seasons Skin Care:

More information

Quick Facts about Breast Augmentation with IDEAL IMPLANT Saline-filled Breast Implants

Quick Facts about Breast Augmentation with IDEAL IMPLANT Saline-filled Breast Implants Quick Facts about Breast Augmentation with IDEAL IMPLANT Saline-filled Breast Implants Important Factors Breast Augmentation Patients Should Consider October 2015 Caution: Federal law restricts this device

More information

What You Need to Know About Breast Reconstruction Surgery

What You Need to Know About Breast Reconstruction Surgery Millard Fillmore Suburban Hospital A Kaleida Health Facility What You Need to Know About Breast Reconstruction Surgery This packet of information contains choices that are available to you regarding breast

More information

Michael A. Boss, M.D. FMH Plastic, Reconstructive und Aesthetic Surgery

Michael A. Boss, M.D. FMH Plastic, Reconstructive und Aesthetic Surgery Michael A. Boss, M.D. FMH Plastic, Reconstructive und Aesthetic Surgery Boss Aesthetic Center Schauplatzgasse 23 CH-3011 Bern Switzerland +41 31 311 7691 www.aesthetic-center.com B r e a s t A u g m e

More information

Breast Augmentation. If you are dissatisfied with your breast size, augmentation surgery is a choice to consider. Breast augmentation can:

Breast Augmentation. If you are dissatisfied with your breast size, augmentation surgery is a choice to consider. Breast augmentation can: Breast Augmentation What is Breast Augmentation? Also known as augmentation mammaplasty, breast augmentation involves using implants to fulfill your desire for fuller breasts or to restore breast volume

More information

Breast Reconstruction

Breast Reconstruction Breast Reconstruction Princess Margaret An information booklet for women who are thinking about having breast reconstruction surgery Breast reconstruction is a personal choice. This booklet gives you information

More information

BREAST CANCER WHAT ARE MY SURGICAL OPTIONS?

BREAST CANCER WHAT ARE MY SURGICAL OPTIONS? BREAST CANCER WHAT ARE MY SURGICAL OPTIONS? Contents: The aims of surgery Know your surgical options Breast reconstruction Questions to ask your surgeon The aims of surgery Every woman is different and

More information

BREAST SURGERY POLICY

BREAST SURGERY POLICY BREAST SURGERY POLICY This policy applies to all patients registered with a General Practitioner within NHS Wiltshire. Background NHS Wiltshire does not normally fund cosmetic procedures solely to improve

More information

CHOICES IN BREAST RECONSTRUCTION

CHOICES IN BREAST RECONSTRUCTION CHOICES IN BREAST RECONSTRUCTION A Guide to Surgical Options and the Natrelle Collection Please see Indications and Important Safety Information inside. 1 CHOOSING BREAST RECONSTRUCTION The purpose of

More information

Surgery Choices. National Cancer Institute. For Women with DCIS or Breast Cancer. National Institutes of Health

Surgery Choices. National Cancer Institute. For Women with DCIS or Breast Cancer. National Institutes of Health National Cancer Institute Surgery Choices For Women with DCIS or Breast Cancer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health The National Cancer Institute is grateful for our

More information

Breast Augmentation Amsterdam Plastic Surgery Breast Augmentation Overview

Breast Augmentation Amsterdam Plastic Surgery Breast Augmentation Overview Breast Augmentation Amsterdam Plastic Surgery Breast Augmentation Overview The long-lasting results of breast augmentation are not limited to just physical changes as data documents that many patients

More information

Medical Review Criteria Breast Surgeries

Medical Review Criteria Breast Surgeries Medical Review Criteria Breast Surgeries Effective Date: May 25, 2016 Subject: Breast Surgeries Policy: HPHC covers medically necessary breast surgeries including mastectomy, breast reconstruction, reduction

More information

Patient information. Breast Asymmetry. Breast Services Directorate PIF 054 V5

Patient information. Breast Asymmetry. Breast Services Directorate PIF 054 V5 Patient information Breast Asymmetry Breast Services Directorate PIF 054 V5 Nobody has breasts that are exactly the same size. However, if this is very noticeable, surgery is often helpful. It is usually

More information

It is important that you read this information carefully and completely.

It is important that you read this information carefully and completely. Placement of Permanent Breast Implant Following Tissue Expansion 1. I hereby authorize Dr. John P. Stratis and such assistants as may be selected to perform the following procedure or treatment INFORMED-

More information

Oct 2005 ISBN: 1-873820-55-0. Breast Implants. Information for women considering breast implants

Oct 2005 ISBN: 1-873820-55-0. Breast Implants. Information for women considering breast implants Oct 2005 ISBN: 1-873820-55-0 Breast Implants Information for women considering breast implants Forward Preface It gives me great pleasure to support this publication as part of the Health Promotion services

More information

Breast Implants and Reconstruction

Breast Implants and Reconstruction Last Review Date: October 9, 2015 Number: MG.MM.SU.fv2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth

More information

A Girlfriend s Guide. Breast Augmentation WWW.RPSMD.COM

A Girlfriend s Guide. Breast Augmentation WWW.RPSMD.COM A Girlfriend s Guide to Breast Augmentation 1 Your Breast Augmentation Surgery: This is an important decision that you are considering. Have you always thought about increasing the size of your breasts,

More information

Patient information. Bilateral Breast Augmentation. Surgical Directorate - Breast Services PIF 097 V4

Patient information. Bilateral Breast Augmentation. Surgical Directorate - Breast Services PIF 097 V4 Patient information Bilateral Breast Augmentation Surgical Directorate - Breast Services PIF 097 V4 This information leaflet should be read along with Breast Implants: Information for women considering

More information

Breast Implants: Local Complications and Adverse Outcomes

Breast Implants: Local Complications and Adverse Outcomes Breast Implants: Local Complications and Adverse Outcomes This booklet highlights the most common problems associated with silicone gel-filled and saline-filled breast implants: those that occur in the

More information

COPYRIGHT ASPS. Breast Augmentation. The Symbol of Excellence in Plastic Surgery

COPYRIGHT ASPS. Breast Augmentation. The Symbol of Excellence in Plastic Surgery Breast Augmentation The Symbol of Excellence in Plastic Surgery A public education service of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. This brochure

More information

Early-stage Breast Cancer Treatment: A Patient and Doctor Dialogue

Early-stage Breast Cancer Treatment: A Patient and Doctor Dialogue page 1 Early-stage Breast Cancer Treatment: A Patient and Doctor Dialogue Q: What is breast cancer, and what type do I have? A: Cancer is a disease in which cells become abnormal and form more cells in

More information

Medical Policy Original Effective Date: 11-19-08 Revised Date: 1-27-16 Page 1 of 8

Medical Policy Original Effective Date: 11-19-08 Revised Date: 1-27-16 Page 1 of 8 Page 1 of 8 Disclaimer Description Coverage Determination Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans, or the plan

More information

transformation M I C R O S U R G I C A L B R E A S T R E C O N S T R U C T I O N

transformation M I C R O S U R G I C A L B R E A S T R E C O N S T R U C T I O N ransformation M I C R O S U R G I C A L B R E A S T R E C O N S T R U C T I O N T H E L AT ES T M I C R O S U R G I C A L T E C H N I Q U ES I N B R E A S T R E C O N S T R U C T I O N Dr. Ali Sadeghi

More information

Breast reconstruction using an implant after risk-reducing surgery

Breast reconstruction using an implant after risk-reducing surgery Breast reconstruction using an implant after risk-reducing surgery This information is from the booklet Understanding riskreducing breast surgery. You may find the full booklet helpful. We can send you

More information

Breast Reconstruction Surgery

Breast Reconstruction Surgery Breast Reconstruction Surgery Breast Cancer Centre of Hope Breast Cancer Navigator 204-788-8080 Toll-free in Manitoba1-888-660-4866 Types of mastectomies Steps of breast reconstruction Breast reconstruction

More information

Breast Augmentation and Lifts Explained. Breast Augmentation and Lifts explained

Breast Augmentation and Lifts Explained. Breast Augmentation and Lifts explained Breast Augmentation and Lifts explained 1 Your breasts, your choices Whether you are a mother whose breasts have lost their fullness and perkiness due to breastfeeding, or a woman who simply wants to feel

More information

Breast Reconstruction

Breast Reconstruction Breast Reconstruction by Editorial Staff and Contributors En Español (Spanish Version) Click here to view an animated version of this procedure. Definition Breast reconstruction is plastic surgery to rebuild

More information

IS BREAST AUGMENTATION RIGHT FOR YOU?

IS BREAST AUGMENTATION RIGHT FOR YOU? IS BREAST AUGMENTATION RIGHT FOR YOU? (816) 286-4126 www.kansascitysurgicalarts.com For many women, having shapely, full breasts is an important part of feeling feminine. The breasts give the body proportion,

More information

Chapter 24. Evolution of Procedures

Chapter 24. Evolution of Procedures Chapter 24 BREAST SURGERY KEY FIGURES: Saline implant reconstruction Latissimus dorsi reconstruction Free TRAM reconstruction In the developed world, breast reconstruction after mastectomy and breast reduction

More information

SUBJECT: MANAGEMENT OF BREAST EFFECTIVE DATE: 12/16/99 IMPLANTS REVISED DATE:

SUBJECT: MANAGEMENT OF BREAST EFFECTIVE DATE: 12/16/99 IMPLANTS REVISED DATE: MEDICAL POLICY SUBJECT: MANAGEMENT OF BREAST PAGE: 1 OF: 5 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy

More information

CONSENT FOR BREAST IMPLANT REMOVAL

CONSENT FOR BREAST IMPLANT REMOVAL CONSENT FOR BREAST IMPLANT REMOVAL GENERAL INFORMATION The removal of breast implants that have been placed either for cosmetic or reconstructive purposes is a surgical operation. Breast implant removal

More information

Breast reconstruction using an implant

Breast reconstruction using an implant Breast reconstruction using an implant This information is from the booklet Understanding breast reconstruction. You may find the full booklet helpful. We can send you a free copy see page 10. Contents

More information

Life After Weight Loss Program Patient Guide

Life After Weight Loss Program Patient Guide Life After Weight Loss Program Patient Guide The new you. Weight loss either through bariatric surgery or diet and exercise is truly a life changing event. You look and feel better. You are healthier.

More information

BREAST IMPLANTS (enlargement, augmentation) Dr. Benjamin Van Raalte TYPES OF IMPLANTS saline round implants high profiles low profile shaped

BREAST IMPLANTS (enlargement, augmentation) Dr. Benjamin Van Raalte TYPES OF IMPLANTS saline round implants high profiles low profile shaped BREAST IMPLANTS (enlargement, augmentation) Dr. Benjamin Van Raalte has 20 years of experience with breast enlargement including axillary incisions and gel implants. Dr. Van Raalte is the first Quad City

More information

INFORMED-CONSENT BREAST AUGMENTATION

INFORMED-CONSENT BREAST AUGMENTATION RICHARD A. BARTLETT, M.D. Board Certified-American Board of Plastic Surgery Member-American Society of Plastic Surgeons Member-American Society for Aesthetic Plastic Surgery INFORMED-CONSENT BREAST AUGMENTATION

More information

Page 1 of 7 Patient s Initials 10-01-00 version

Page 1 of 7 Patient s Initials 10-01-00 version INFORMED-CONSENT-AUGMENTATION MAMMAPLASTY INSTRUCTIONS This is an informed-consent document that has been prepared to help inform you about augmentation mammaplasty, its risks, and alternative treatments.

More information

Breast Augmentation Information Sheet

Breast Augmentation Information Sheet Breast Augmentation Information Sheet Are you thinking about Breast Augmentation? If you are considering surgery, Dr. Peterson wants you to be thoroughly informed about this procedure. Reading this brochure

More information

Breast Reconstruction Surgery

Breast Reconstruction Surgery Breast Reconstruction Surgery I. Policy University Health Alliance (UHA) will reimburse for Breast Reconstruction Surgery when it is determined to be medically necessary and when it meets the medical criteria

More information

Premier ADvantage free Limited Warranty on. MENTOR MemoryGel Breast Implants and MemoryShape Breast Implants

Premier ADvantage free Limited Warranty on. MENTOR MemoryGel Breast Implants and MemoryShape Breast Implants Premier ADvantage free Limited Warranty on MENTOR MemoryGel Breast Implants and MemoryShape Breast Implants YOUR PEACE-OF-MIND COMES FIRST Partnering with the right surgeon and choosing the best implants

More information

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History

More information

Breast Lumpectomy and Sentinel Lymph Node Biopsy

Breast Lumpectomy and Sentinel Lymph Node Biopsy Breast Lumpectomy and Sentinel Lymph Node Biopsy Introduction Breast cancer is a common condition that affects millions of women every year. It usually shows up as a lump that can be felt and/or seen on

More information

Breast Augmentation Primer

Breast Augmentation Primer Breast Augmentation Primer Breast augmentation is typically a very rewarding procedure. In order to achieve the highest level of patient satisfaction, many decisions must be carefully made. We have put

More information

Medical Policy Original Effective Date: Revised Date: Page 1 of 8

Medical Policy Original Effective Date: Revised Date: Page 1 of 8 Page 1 of 8 Breast Implant Removal and/or Replacement and Capsulectomy Disclaimer Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on

More information

A separate consent form for the use of breast implants in conjunction with mastopexy is necessary.

A separate consent form for the use of breast implants in conjunction with mastopexy is necessary. INFORMED CONSENT BREAST LIFT (MASTOPEXY) INSTRUCTIONS This is an informed consent document that has been prepared to help your plastic surgeon inform you about mastopexy surgery, its risks, and alternative

More information

Looking for answers about breast reconstruction?

Looking for answers about breast reconstruction? Looking for answers about breast reconstruction? Start here. Start today. { 1 } { 2 } Taking the mystery out of breast reconstruction If you or someone you care about is considering breast reconstruction

More information

THE DECISION GUIDE TO BREAST RECONSTRUCTION

THE DECISION GUIDE TO BREAST RECONSTRUCTION THE DECISION GUIDE TO BREAST RECONSTRUCTION Breast reconstruction is the process of making a new breast after mastectomy (removal of the breast) for breast cancer treatment or prevention ( therapeutic

More information

INFORMED CONSENT: BREAST IMPLANT EXCHANGE (INCLUDING OPEN CAPSULECTOMY)

INFORMED CONSENT: BREAST IMPLANT EXCHANGE (INCLUDING OPEN CAPSULECTOMY) INFORMED CONSENT: BREAST IMPLANT EXCHANGE (INCLUDING OPEN CAPSULECTOMY) INSTRUCTIONS This is an informed consent document that has been prepared to help inform you about breast implant exchange and open

More information

M O V I N G F R E E LY. HerniaCenter. The Columbia Hernia Center at ColumbiaDoctors Midtown

M O V I N G F R E E LY. HerniaCenter. The Columbia Hernia Center at ColumbiaDoctors Midtown M O V I N G F R E E LY HerniaCenter The Columbia Hernia Center at ColumbiaDoctors Midtown Director, Dr. Peter L. Geller The Columbia Hernia Center brings together a group of surgeons adept in using the

More information

Breast Reconstruction Following Mastectomy or Lumpectomy

Breast Reconstruction Following Mastectomy or Lumpectomy Breast Reconstruction Following Mastectomy or Lumpectomy [For the list of services and procedures that need preauthorization, please refer to www.mcs.pr Go to Comunicados a Proveedores, and click Cartas

More information

Lumbar Laminectomy and Interspinous Process Fusion

Lumbar Laminectomy and Interspinous Process Fusion Lumbar Laminectomy and Interspinous Process Fusion Introduction Low back and leg pain caused by pinched nerves in the back is a common condition that limits your ability to move, walk, and work. This condition

More information

TOM J. POUSTI, MD, F.A.C.S. PLASTIC AND RECONSTRUCTION SURGERY

TOM J. POUSTI, MD, F.A.C.S. PLASTIC AND RECONSTRUCTION SURGERY TOM J. POUSTI, MD, F.A.C.S. PLASTIC AND RECONSTRUCTION SURGERY INFORMED CONSENT FOR BREAST AUGMENTATION SURGERY INSTRUCTIONS This is an informed consent document that has been prepared to help inform you

More information

GENERAL QUESTIONS FOR YOUR DOCTOR OR NURSE. 3. Can you refer me to a breast cancer support group or counselor?

GENERAL QUESTIONS FOR YOUR DOCTOR OR NURSE. 3. Can you refer me to a breast cancer support group or counselor? GENERAL QUESTIONS FOR YOUR DOCTOR OR NURSE 1. You can bring members of your family or a friend to talk to the doctor or nurse directly. 2. Where can I find more information about breast cancer? 3. Can

More information

Plastic Surgery @ it s Best

Plastic Surgery @ it s Best Plastic Surgery @ it s Best The single most important factor in the success of aesthetic (cosmetic) surgery is the surgeon you select and his team. Dr. Tariq Saeed is the renowned Bahraini, Plastic, Aesthetic

More information

Breast reduction surgery

Breast reduction surgery Pan Manchester Patient Information Service July 2007 Plastic Surgery Department Issue 2 BSBR Pan Manchester Plastic Surgery Services Department of Plastic Surgery Acknowledgement: Written by Mr P Kumar,

More information

INFUSE Bone Graft (rhbmp-2/acs)

INFUSE Bone Graft (rhbmp-2/acs) 1 INFUSE Bone Graft (rhbmp-2/acs) For patients who need more bone to place dental implants Enjoy living with INFUSE Bone Graft. www.medtronic.com Medtronic Spinal and Biologics Business Worldwide Headquarters

More information

Reshaping You. Breast Reconstruction for Breast Cancer Patients

Reshaping You. Breast Reconstruction for Breast Cancer Patients Reshaping You Breast Reconstruction for Breast Cancer Patients Foreword Women diagnosed with breast cancer begin a journey that requires making health care decisions that can have profound effects on their

More information

Breast Health Program

Breast Health Program Breast Health Program Working together, for your health. Breast Health Program The Breast Health Program at The University of Arizona Cancer Center offers patients a personalized approach to breast cancer,

More information

body breast augmentation

body breast augmentation face body skin breast augmentation Rowena After years of self confidence issues and feeling out of proportion to the rest of my body, I felt I needed to make a change for me! breast augmentation considering

More information

How To Improve Your Looks with Plastic Surgery

How To Improve Your Looks with Plastic Surgery How To Improve Your Looks with Plastic Surgery By Daniel Becker Plastic surgery is a special type of surgery that involves both a person's appearance and his or her ability to function. Plastic surgeons

More information

INFORMED-CONSENT-OPEN CAPSULECTOMY AND BREAST IMPLANT EXCHANGE

INFORMED-CONSENT-OPEN CAPSULECTOMY AND BREAST IMPLANT EXCHANGE INFORMED-CONSENT-OPEN CAPSULECTOMY AND BREAST IMPLANT EXCHANGE Instructions This is an informed-consent document that has been prepared to help inform you about open capsulectomy and breast implant exchange,

More information

X-Plain Inguinal Hernia Repair Reference Summary

X-Plain Inguinal Hernia Repair Reference Summary X-Plain Inguinal Hernia Repair Reference Summary Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may recommend a hernia operation. The decision whether or

More information

Breast Reconstruction After Mastectomy

Breast Reconstruction After Mastectomy Breast Reconstruction After Mastectomy Breast reconstruction is a type of surgery for women who have had all or part of a breast removed. The surgery rebuilds the breast mound to match the size and shape

More information

Structual Fat Transfer (Fat Injection to the Breast) Musgrove Park Hospital is part of Taunton and Somerset NHS Foundation Trust. Patient Information

Structual Fat Transfer (Fat Injection to the Breast) Musgrove Park Hospital is part of Taunton and Somerset NHS Foundation Trust. Patient Information Structual Fat Transfer (Fat Injection to the Breast) Musgrove Park Hospital is part of Taunton and Somerset NHS Foundation Trust Patient Information Introduction This information is for patients undergoing

More information

MARK BROUDO M.D. P.A. 1100 SW 57 AVENUE SUITE 100 MIAMI, FL 33144

MARK BROUDO M.D. P.A. 1100 SW 57 AVENUE SUITE 100 MIAMI, FL 33144 MARK BROUDO M.D. P.A. 1100 SW 57 AVENUE SUITE 100 MIAMI, FL 33144 PATIENT: DATE: TIME: INFORMED-CONSENT-Open Capsulectomy with Breast Implant Exchange INSTRUCTIONS This is an informed-consent document

More information

The spectrum of breast surgery

The spectrum of breast surgery The spectrum of breast surgery at SCPMG Cissy Tan, M.D. Regional Chief of Plastic Surgery, SCPMG Breast/Mastectomy Reconstruction Breast reduction Management of breast implant problems Gynecomastia 1 Breast

More information

Understanding Your Surgical Options For Breast Cancer

Understanding Your Surgical Options For Breast Cancer RADIATION THERAPY SYMPTOM MANAGEMENT CANCER INFORMATION Understanding Your Surgical Options For Breast Cancer In this booklet you will learn about: Role of surgery in breast cancer diagnosis and treatment

More information

Sientra Our Promise to You. The Sientra Limited Warranty and Lifetime Product Replacement Programs

Sientra Our Promise to You. The Sientra Limited Warranty and Lifetime Product Replacement Programs Sientra Our Promise to You The Sientra Limited Warranty and Lifetime Product Replacement Programs The Sientra Warranty Simply the best coverage at no cost to you Our unwavering commitment to safety, innovation,

More information

Guide to Understanding Breast Cancer

Guide to Understanding Breast Cancer An estimated 220,000 women in the United States are diagnosed with breast cancer each year, and one in eight will be diagnosed during their lifetime. While breast cancer is a serious disease, most patients

More information

Hysterectomy. The time to take care of yourself

Hysterectomy. The time to take care of yourself Hysterectomy The time to take care of yourself The time to take care of yourself Women spend a lot of time taking care of others spouses, children, parents. We often overlook our own needs. But when our

More information

EDWARD EADES, M.D. Board Certified American Board of Plastic Surgery Member American Society of Plastic Surgeons

EDWARD EADES, M.D. Board Certified American Board of Plastic Surgery Member American Society of Plastic Surgeons EDWARD EADES, M.D. Board Certified American Board of Plastic Surgery Member American Society of Plastic Surgeons INFORMED CONSENT BREAST IMPLANT REMOVAL SURGERY INSTRUCTIONS This is an informed-consent

More information

Breast Reconstruction. What You Should Know

Breast Reconstruction. What You Should Know Breast Reconstruction What You Should Know M astectomy for treating breast cancer is the most common reason that women have breast reconstruction. In fact, the number of women undergoing this reconstructive

More information

Plastic Surgery & Diving

Plastic Surgery & Diving Plastic Surgery & Diving Breast Augmentation (Breast Implants) SCOTT JOHNSON PHOTO In the previous issue we discussed plastic surgeries such as nose jobs, liposuction and face lifts, noting that the topic

More information

Breast reconstruction using tissue from your back

Breast reconstruction using tissue from your back Breast reconstruction using tissue from your back This information is from the booklet Understanding breast reconstruction. You may find the full booklet helpful. We can send you a free copy see page 5.

More information

Laparoscopic Repair of Hernias. A simple guide to help answer your questions

Laparoscopic Repair of Hernias. A simple guide to help answer your questions Laparoscopic Repair of Hernias A simple guide to help answer your questions What is a hernia? A hernia is defined as a hole or defect in the abdominal (belly) wall. A hernia can either be congenital (a

More information

Name of Policy: Reconstructive versus Cosmetic Surgery

Name of Policy: Reconstructive versus Cosmetic Surgery Name of Policy: Reconstructive versus Cosmetic Surgery Policy #: 106 Latest Review Date: February 2010 Category: Administrative Policy Grade: Background/Definitions: As a general rule, benefits are payable

More information

ABDOMINOPLASTY - FREQUENTLY ASKED QUESTIONS (FAQs)

ABDOMINOPLASTY - FREQUENTLY ASKED QUESTIONS (FAQs) Executive Level E1, Excen Centre, 119 Willoughby Road, Crows Nest 2065 Tel: 02 9817 7585 www.mycosmeticclinic.net AFFORDABILITY WITH EXCELLENCE Liposuction Breast Augmentation Abdominoplasty Eyelids Surgery

More information

XXXXX File No. 108655-001 Petitioner v. Issued and entered this 28 th day of June 2010 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND

XXXXX File No. 108655-001 Petitioner v. Issued and entered this 28 th day of June 2010 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND STATE OF MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation In the matter of XXXXX File No.

More information

Blepharoplasty - Eyelid Surgery

Blepharoplasty - Eyelid Surgery Blepharoplasty - Eyelid Surgery Introduction Eyelid surgery repairs sagging or drooping eyelids. The surgery is also known as blepharoplasty, or an eyelid lift. Sagging or drooping eyelids happen naturally

More information

Incisional, Ventral Hernia Repair

Incisional, Ventral Hernia Repair Incisional, Ventral Hernia Repair Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may have recommended a hernia operation. The decision whether or not to have

More information

BREAST AUGMENTATION. Michael D Manuel, M.D. Plastic and Reconstructive Surgery. BAMmmanuel PAGE 1

BREAST AUGMENTATION. Michael D Manuel, M.D. Plastic and Reconstructive Surgery. BAMmmanuel PAGE 1 BREAST AUGMENTATION Breast augmentation is an elective operation aimed at increasing the size of the breast. It may also help create symmetry where there may be a size discrepancy between the two breasts.

More information

Patient with Breast Cancer

Patient with Breast Cancer Occupational Therapy Coordinating Organizing Committee Project Group on Oncology & Palliative Care for Patient with Breast Cancer Post-mastectomy : the facts Mastectomy, radiotherapy and chemotherapy are

More information

Aestheticare Cosmetic Surgery Institute Dr. Ronald E. Moser 30260 Rancho Viejo Rd. San Juan Capistrano, CA 92675 (800) 662-1055

Aestheticare Cosmetic Surgery Institute Dr. Ronald E. Moser 30260 Rancho Viejo Rd. San Juan Capistrano, CA 92675 (800) 662-1055 Breast augmentation, or augmentation mammoplasty, is one of the most common plastic surgery procedures performed today. Over time, factors such as age, genetics, pregnancy, weight changes, sun exposure,

More information

APPENDIX D. April 1, 2015 AD1 Amd 12 Draft 1. Appendix DApril 1, 2015 PREAMBLE

APPENDIX D. April 1, 2015 AD1 Amd 12 Draft 1. Appendix DApril 1, 2015 PREAMBLE Appendix DApril 1, 2015 PREAMBLE 1. Surgery to alleviate significant physical symptoms, which have not responded to a minimum of six months active treatment, or to restore or improve function to any area

More information

Get the Facts, Be Informed, Make YOUR Best Decision. Pelvic Organ Prolapse

Get the Facts, Be Informed, Make YOUR Best Decision. Pelvic Organ Prolapse Pelvic Organ Prolapse ETHICON Women s Health & Urology, a division of ETHICON, INC., a Johnson & Johnson company, is dedicated to providing innovative solutions for common women s health problems and to

More information

Patient Guide. Brachytherapy: The precise answer for tackling breast cancer. Because life is for living

Patient Guide. Brachytherapy: The precise answer for tackling breast cancer. Because life is for living Patient Guide Brachytherapy: The precise answer for tackling breast cancer Because life is for living This booklet is designed to provide information that helps women who have been diagnosed with early

More information

Breast Implant Information Booklet. 4th edition

Breast Implant Information Booklet. 4th edition Breast Implant Information Booklet 4th edition This booklet has been prepared to provide guidance for persons considering the use of silicone gel-filled breast implants. These implants are associated with

More information

GLOBAL. Frequently Asked Questions

GLOBAL. Frequently Asked Questions GLOBAL Frequently Asked Questions about Breast Implants 2 Contents 1 Silicone Material 1 Safety of Silicone 2 Capsular Contracture 2 Breast Cancer 3 Mammography 3 Silicone Allergy 3 Implant Life Expectancy

More information

FACTS about. MENTOR MemoryGel. Silicone Gel Filled Breast Implants

FACTS about. MENTOR MemoryGel. Silicone Gel Filled Breast Implants FACTS about MENTOR MemoryGel Silicone Gel Filled Breast Implants Are you considering breast implant surgery but not certain which type of implant to choose? You re not alone. Science-based information

More information

Important Information for Reconstruction Patients about Mentor MemoryGel Silicone Gel-Filled Breast Implants

Important Information for Reconstruction Patients about Mentor MemoryGel Silicone Gel-Filled Breast Implants Important Information for Reconstruction Patients about Mentor MemoryGel Silicone Gel-Filled Breast Implants 1 Important Information for Reconstruction Patients about Mentor MemoryGel Silicone Gel-Filled

More information

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins

More information

Open Discectomy. North American Spine Society Public Education Series

Open Discectomy. North American Spine Society Public Education Series Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.

More information

INTERNATIONAL. Breast Augmentation. Options

INTERNATIONAL. Breast Augmentation. Options INTERNATIONAL Breast Augmentation Options Important Safety Information: Mentor MemoryGel and Mentor saline-filled breast implants are indicated for breast augmentation - in women who are at least 18 years

More information

Breast Cancer. Your right to know. Illinois Department of Public Health

Breast Cancer. Your right to know. Illinois Department of Public Health Breast Cancer Your right to know Illinois Department of Public Health The information contained in this brochure regarding recommendations for the early detection, diagnosis and treatment of breast disease

More information

Cryosurgery in Cancer Treatment: Questions and Answers. Key Points

Cryosurgery in Cancer Treatment: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Cryosurgery in Cancer

More information

Information for women considering breast implants

Information for women considering breast implants Breast Implants This publication is for all women who are considering having breast implants. It summarises the issues associated with breast implant surgery and includes questions to ask in order to enable

More information

Lipomodelling Following Breast Surgery

Lipomodelling Following Breast Surgery Lipomodelling Following Breast Surgery Patient Information Breast Care Department Author ID: SW/AD/EA Leaflet Number: SBC 010 Name of Leaflet: Lipomodelling Following Breast Surgery Date Produced: October

More information

Inguinal Hernia (Female)

Inguinal Hernia (Female) Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS

More information

Jennifer L. Walden, MD Aesthetic Plastic Surgery 5656 Bee Caves Rd, Suite E201, Austin, TX 78746 Phone: 512-328-4100 Fax: 512-328-2132

Jennifer L. Walden, MD Aesthetic Plastic Surgery 5656 Bee Caves Rd, Suite E201, Austin, TX 78746 Phone: 512-328-4100 Fax: 512-328-2132 Jennifer L. Walden, MD Aesthetic Plastic Surgery 5656 Bee Caves Rd, Suite E201, Austin, TX 78746 Phone: 512-328-4100 Fax: 512-328-2132 Breast Augmentation Frequently Asked Questions Please read over these

More information